Garrison, David James

Garrison, David James is an sole proprietor health care provider with primary practice located at 6021 Pacific Blvd Suite 109, Huntington Park CA 90255-2953. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Garrison, David James can be contacted via phone (323) 581-8200.

Contact Information

Primary practice address
6021 Pacific Blvd Suite 109 Huntington Park CA 90255-2953
Phone: (323) 581-8200
Fax: (323) 581-8222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PA12521 California

Profile Details

NPI number 1174694863
LBN Legal business name Garrison, David James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174694863 NPPES
California Other PA12521 MEDICAL LICENSE

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